Title

Author

Date of Award

12-2014

Degree Type

Dissertation

Degree Name

Nursing (D.N.P.)

Department

College of Nursing

First Advisor

Cypthia McCurren

Second Advisor

Ann Sheehan

Third Advisor

Timothy Syfert

Abstract

School-based health centers (SBHCs) are a directed approach for providing health services to students who may otherwise lack them. Over the past 40 years, the number of SBHCs has olved from targeting public health concerns to the development of a specific collaborative model of care that is responsive to the unique needs of children. The purpose of this project was to develop a sustainable model for the creation and implementation of a school-based nurse-managed health center (SB-NMHC) with the capacity to improve health access and quality, and to reduce cost, while also mitigating present and future health disparities within a Michigan rural community. A comprehensive review of the literature demonstrated SBHCs’ benefits on delivering preventive care, such as immunizations; managing chronic illnesses; and improving students’ academic performance. This project was planned as a collaboration between a school district and a Midwest College of Nursing. The faculty and nursing students, at all degree levels, would provide the expertise in SB-NMHC to include care coordination and evidence-based practice. By drawing on the combined strengths of this health care delivery model and College of Nursing, development of this unique model for accessible, affordable, and comprehensive health services has the potential for significant improvements in health, educational, and quality of life outcomes for students, their families and the community. Subsequently, a comprehensive business plan was developed, including a five-year pro forma financial statements.